NIFA FINAL EXAM WITH 100% CORRECT ANSWERS 2024, Exams of Nursing

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NIFA FINAL EXAM WITH 100% CORRECT ANSWERS 2024 peripheral nerve block for ankle ORIF would complain if which symptom - Correct Answer-metallic taste in mouth positioning arms correctly to avoid pressure on the elbow to prevent - Correct Answer- ulnar nerve injury positioning device for bariatric patients prior to intubation - Correct Answer-upper body ramp depolarizing muscle relaxant that produces generalized fasciculations - Correct Answer- succinylcholine hemostatic device offers rapid and secure method of clamping, metal and MRI compatible - Correct Answer-ligating clip positioning device for head cases - Correct Answer-mayfield head positioner suture permanently attached at the end of the needle referred to as - Correct Answer- swaged overpressurization can lead to - Correct Answer-hypercarbaria most commonly used local anesthetic - Correct Answer-lidocaine double gloving - Correct Answer-the american college of surgeons endorses double gloving for all surgery and invasive procedures anesthesia that lets patients maintain their own airway and be easily aroused from sleep - Correct Answer-moderate sedation / analgesia who requires two patient identifiers on specimen labels - Correct Answer-JCO factor with high influence on wound healing that the surgical team can control - Correct Answer-tissue handling patient at highest risk for hypothermia in perianesthesia phase - Correct Answer-3 week old neonate for cardiac anomaly suture best suited for intestinal anastomosis - Correct Answer-vicryl trailing a new insuflation system, over-pressurization leads to - Correct Answer- hypercarbia process of decontamination begins when - Correct Answer-at completion of the surgical procedure which injury is NOT related to a patient being placed in the lateral position - Correct Answer-compression of abdominal cavity primary substance found in epidermis that protects body from fluid loss and invasion of pathogens - Correct Answer-keratin correct statement regarding closed gloving - Correct Answer-closed gloving can only be used for initial gloving what measure can be taken to prevent aspiration based on patient's history - Correct Answer-cricoid pressure during induction on factor that describes high incidence of musculoskeletal disorders among surgical techs and nurses - Correct Answer-the cumulative effect of repeated patient handling events q allergic contact dermatitis with natural rubber latex - Correct Answer-puritis, edema, erythema and visicles 6-48 hours after exposure patient reports latex allergy, carries epi pen and beta-agonist inhaler - Correct Answer- true latex allergy 191.18 kg patient scheduled for surgery; interventions to enhance patient safety - Correct Answer-use of an OR bed to accommodate patient weight and size risk reduction strategy to reduce sharps injury - Correct Answer-passing sharp items using neutral / hands free techniques instead of passing hand to hand self retaining retractor for large patient - Correct Answer-bookwalter silk loses tensile strength after what period of time - Correct Answer-1 year physical characteristic of suture - Correct Answer-knot strength appropriate steps to remove sterile gown - Correct Answer-wipe gloves clean, untie side of gown, grasp gown at one shoulder seam practice for sponge, sharp, and instrument counts follows: - Correct Answer-institutional policy laparoscopic trocars placed by resident; unusual occurance that could lead to sepsis - Correct Answer-inadvertent trocar puncture through bowel on insertion lymphatics of small bowel and portions of colon are located in - Correct Answer- mesentary point of insertion for iliopsoas muscle - Correct Answer-lesser trochanter femoral hernias occur more frequently in - Correct Answer-women minimally invasive technique used to remove thyroid tumors deep in the mediastinum - Correct Answer-thoracoscopy colon wall has 5 layers which include - Correct Answer-mucosa possible benefit to paramedian incision - Correct Answer-decreased risk for hernia transthoracic esophagectomy with lymph node dissection for cancer of esophagus; which approach - Correct Answer-upper midline abdominal and right thoracotomy burn patient; preparation performed before patient comes to OR - Correct Answer- prewarm the OR to above the ambient high temp for adult distinguishing characteristic of large intestine - Correct Answer-teniae coli, haustra, epiploic appendages 51 y/o male with hepatobiliary disease; pre op assessment includes - Correct Answer- review his chart for bleeding and coagulation times and platelet count boundaries for skin prep for patient receiving liver transplant - Correct Answer-neck to midthigh, bedline to bedline during kidney transplant prior to clamping vessels, drugs given - Correct Answer- heparin and mannitol hernias that occur in the heselbach's triangle - Correct Answer-direct inguinal hernia incision for removing cancerous testis - Correct Answer-midportion of scrotum correct statement regarding trigone of bladder - Correct Answer-forms the base of the bladder nerve supply for female pelvis comes from - Correct Answer-superior hypogastric plexus tear to the meningeal artery results in what kind of hematoma - Correct Answer-epidural bloodless plane that contains loose areolar tissue and permits mobility of scalp - Correct Answer-subgleal space vessels of the circle of willis include - Correct Answer-posterior communicating artery cranial nerve responsible for pupillary reaction - Correct Answer-cranial nerve III primary divisions of nerve are known as - Correct Answer-rami disadvantage of harrington rods - Correct Answer-rod breakage is increased nerves in the lower extremity not commonly implicated in positioning related neuropathies - Correct Answer-popliteal use of PMMA can result in which adverse reaction - Correct Answer-transient hypotension ASPECT OF BONE HEALING THAT IS PRESERVED THROUGH INTRAMEDULLARY REAMING - Correct Answer-maintenance of fracture hematoma closed reduction is the treatment of choice for fractures because - Correct Answer- decreased opportunity for infection most commonly used pediatric premedication - Correct Answer-versed child is being pre oped for surgery and nurse notices mild myotonia congenita; appropriate risk reduction strategy would be - Correct Answer-perform careful assessment of family hx to identify risk for developing MH congenital anomaly that best reflects indications of fetal surgery - Correct Answer- congenital diaphragmatic hernia scoring range for GCS - Correct Answer-15, 3 pneumonic AMPLE - Correct Answer-allergies, medications, PMH, last meal, event leading to injury why must evidence be placed in a paper bag and not a plastic bag - Correct Answer- mulitple trauma wound patient, what is appropriate for rapid preparation of this patient - Correct Answer-prep patient from suprasternal notch to mid thigh B why must evidence be placed in a paper bag and not a plastic bag - Correct Answer- plastic bags may trap moisture and allow mold growth, destroying evidence person responsible for marking the patient - Correct Answer-surgeon concept of risk management - Correct Answer-all of the above patient safety strategy that reduces medication errors - Correct Answer-tracing origin and insertion of all tubes and catheters contributing factors to friction and shearing - Correct Answer-transfer process from OR bed to stretcher most common pattern of hearing loss in older adults - Correct Answer-bilateral symmetric sensorineural skin injuries are often overlooked or not linked to surgery because - Correct Answer- injuries often have a delay in appearance the perioperative nurse - Correct Answer-all of the above JCAHO model of risk management includes - Correct Answer-all of the above cutting suture knots of non absorbable suture - Correct Answer-1/2 inch most common complication following ACDF - Correct Answer-difficulty swallowing humidity levels in the OR range between - Correct Answer-40-70 complication that can occur as a result of rapid high pressure is - Correct Answer- hypotension dry time for most skin preps - Correct Answer-3-5 minutes structures located within the broad ligaments - Correct Answer-fallopian tubes, ureters, uterine vessels most common size needle for skin closure - Correct Answer-3/8 one of the two strongest layers in tissue closure - Correct Answer-fascia aortic root is located - Correct Answer-at the junction of the origin of the ascending aorta and the left ventricle a reason for conversion of lap cholecystectomy to open - Correct Answer-inability to remove a stone from the CBD via ERCP must consider which of the following when decided treatment for breast cancer - Correct Answer-size of tumor absolute contraindication for cholecystectomy - Correct Answer-uncontrolled coagulopathies hernia that involves both a direct and indirect hernia - Correct Answer-pantaloon hernia which is NOT a risk factor for developing ventral hernias - Correct Answer-male gender innervation of the lungs is part of what system - Correct Answer-autonomic blood supply to the jejunum and ileum come entirely from branches of the - Correct Answer-superior mesenteric artery blood supply to the transverse colon - Correct Answer-middle colic artery rationale for technique in tumor removal/cancer procedures is - Correct Answer-prevent mechanical metastasis the renal artery and vein enter the kidney o the medial side through a concave area known as the - Correct Answer-hilum best description of a successful skin graft outcome - Correct Answer-the recipient site develops a new blood supply from the base of the wound statement about the liver, pancreas, and spleen that is true - Correct Answer-all three are solid organs and are very vascular "triangle" anotomic landmark that is knowns by the 3 C's - Correct Answer-Calot's most common complication of Meckel's diverticulum - Correct Answer-GI bleeding layer before reaching the rectus abdominis muscle - Correct Answer-scarpa's fascia structures located in the inguinal canal - Correct Answer-spermatic cord and round ligament cancer in the urothelial layer of the bladder - Correct Answer-inner the inner thoracic lymph nodes can also be a channel for - Correct Answer-spread of metastasis the mediastinal surface of the lungs contains a structure known as - Correct Answer- hilum the adrenal glands can be located by their shapes, which are - Correct Answer- triangular, crescent most commonly injured intra-abdominal organ in blunt trauma - Correct Answer-spleen statement that best reflects the functional components of the GI tract - Correct Answer- alimentary canal extends from the mouth to the anus The mesh-plug open hernia repair technique is indicated for which type(s) of hernias? - Correct Answer-recurrent indirect inguinal hernias how much of the entire circulating blood volume do the kidneys process - Correct Answer-1/5 Incision for open cholecystectomy - Correct Answer-right subcostal perineal glands that secrete mucus - Correct Answer-bartholin glands potential risk associated with pneumoperitoneum - Correct Answer-gas embolus into an exposed blood vessel during the procedure fibrous bands of tissue found between abdominal structures not normally connected - Correct Answer-adhesions practice designed to prevent unique MIS problem - Correct Answer-direct coupling physical barrier used in prevention of adhesions that can take up to two weeks to absorb and is indicated in most open procedures - Correct Answer-NOT seprafilm interceed? triad of anatomic sites of abdominal wall weakness with a potential for hernias - Correct Answer-inguinal canal, fermoral rings, umbilicus treatments for a fire fighter who experienced full thickness burns - Correct Answer- debridement and allograft placement during initial healing benefit to paramedian incision - Correct Answer-decreased risk for hernia most common non emergent surgery in USA - Correct Answer-cholecystectomy teniae coli consist of how many longitudinal bands of muscle - Correct Answer-3 correct flow of bile from the gallbladder - Correct Answer-cystic duct, common duct, ampulla of vater, duodenum each lunch contains how many segments - Correct Answer-3 ? page 855 when removing a cancerous testis, incision will be - Correct Answer-just above the inguinal ring pelvic floor consist of which muscle group - Correct Answer-levator ani and coccygeal muscles structure that supports the uterus and contains uterine artery and vein - Correct Answer- cardinal ligaments which describes a hydrocele - Correct Answer-refers to an excess of fluid within the tunica vaginalis of the scrotum which statement about the prostate best reflects its location, size and weight - Correct Answer-the prostate sits below the base of the bladder, is 4 cm at the base and weighs 20-30 grams ovarian artery is a branch of which vessel - Correct Answer-aorta nerve supply for the female pelvis comes from the autonomic nerves that enter the pelvis through the - Correct Answer-superior hypogastric plexus which layer or the uterus contains the lymphatics - Correct Answer-myometrium signs of symptoms of TURP syndrome - Correct Answer-seizures cranial nerve that, if injured in surgery, results in vocal cord paralysis - Correct Answer-x singular bones in the cranial cavity - Correct Answer-frontal, ethmoid, sphenoid, occipital trigeminal nerve provides motor innervation for which muscle group - Correct Answer- muscle of mastication bloodless plane that contains loose areolar tissue and permits mobility of scalp - Correct Answer-subgleal space dura fold that separates right and left cerebral hemispheres - Correct Answer-falx cerebri brainstem consists of what three structures - Correct Answer-midbrain, pons, medulla oblongata which sulci is of particular anatomic importance during surgery - Correct Answer-lateral sulcus What part of the hip are the hemispherical reamers used on? - Correct Answer- acetabulum correct specimen care and handling - Correct Answer-avoid placing specimens for frozen section in formalin The linea alba extends from _____ to the _____ - Correct Answer-above the xiphoid process to the pubis correct regarding non-absorbable suture - Correct Answer-increased reactive properties in tissue which of the following pressure points are included in an assessment to prevent pressure injury - Correct Answer-genitals, knees, toes, and eyes injury can be avoided by tucking the draw sheet () the arm and under the () - Correct Answer-over, the body which is true about the use of liquids in the OR - Correct Answer-skin prepping solutions can cause chemical burns surgery to repair ruptured diverticulum has a wound classification of - Correct Answer- contaminated wound; class III best practice for keeping instruments free of blood and bioburden during procedure - Correct Answer-wipe instruments with a sponge moistened with sterile water after each use instillation of local anesthetic into the subarachnoid space - Correct Answer-spinal anesthesia appropriate way to address a count discrepancy - Correct Answer-we have a count discrepancy, we started with 70 sponges and find only 68, we are missing 2 sponges surgical consents should be written on what grade level - Correct Answer-5th area between the surgeon and the scrub person for passing sharps safely - Correct Answer-neutral zone patient most likely to have a true latex allergy - Correct Answer-patient with spina bifida most commonly used method of sterilization - Correct Answer-steam sterilization which anesthetic could NOT be given if IV only anesthesia was planned - Correct Answer-desflurane lithotomy position; most frequently injured nerves are the obturator, sciatic, femoral and (), which can result in injury from () - Correct Answer-common peroneal; direct compression from the stirrup bars 9 y/o diabetic patient with insulin pump comes for surgery; what should be considered - Correct Answer-bipolar MH is a rare, multifaceted syndrome with an increased incidence in patients that exhibit - Correct Answer-congenital myopathies uses of suture - Correct Answer-ligate, suture, and close tissue medication used for PONV that has potential to prolong QT interval - Correct Answer- droperidol BLANK precautions apply to blood, all body fluids, secretions, and excretions regardless of - Correct Answer-standard which is NOT an event that would adversely affect pulse ox reading - Correct Answer- hypertension most common method to prevent hypothermia is through the use of - Correct Answer- forces air warming blankets suture best suited for intestinal anastomosis based on handling capability, high tensile strength that decreases after 1 year and is not a true non-absorbable - Correct Answer- silk an appropriate combined function for a laparoscopic instrument would be - Correct Answer-blunt dissection with the smooth rounded edge of the closed endoscopic scissors when applying sterile drapes, which principle is most important - Correct Answer-drape the patient starting with the incision area and proceed to the periphery the most significant consideration when caring for pediatric patients that is not of concern when caring for adult patients - Correct Answer-from birth onward, the child is in a continual state of development and physiologic change the roof of the inguinal canal consists of the () while the () makes up the major support for the floor of the inguinal canal - Correct Answer-external oblique aponeurosis, transversalis aponeurosis and fascia many urologic procedures involve "end organs" and which med should be avoided - Correct Answer-epinephrine the surgeon asks you why she is not removing the posterior part of the patient's thyroid gland - Correct Answer-so that the patient does not develop hypocalcemia select an example of a long term use vascular access - Correct Answer-central venous line which indicator would not prompt the surgeon to perform a neck dissection for benign or small malignant tumors? - Correct Answer-increased salivation which is not a complication of stent placement - Correct Answer-sclerosis of the two muscle groups, how many are represented in each eye - Correct Answer-four recti muscles and two oblique muscles the purpose of triple endoscopy is usually diagnostic. a critical role of the periop nurse during this complex diagnostic procedure is - Correct Answer-identifying, containing, and labeling all specimens accurately an appropriate nursing action by the female nurse would be - Correct Answer-maintain shoshana's privacy and convey empathy and positive regard for her culture extravasation; select the appropriate corrective treatment action - Correct Answer-apple warm or cold compress the patient scheduled for a stapedotomy will typically not have a surgical diagnosis of - Correct Answer-tympanic membrane rupture ? ICD patches; what nursing action would be appropriate during this procedure - Correct Answer-be prepared for emergency intervention of there is excessive bleeding identify the purpose of colon resection surgery - Correct Answer-relieve an obstruction which of the following is not included in the bony pelvis - Correct Answer-ileum select the true statement about dacryocystorhinostomy (DCR) - Correct Answer-DCR establishes a new passageway for tear drainage into the nasal cavity which of the following is not contained in the anterior mediastinum - Correct Answer- Great Vessels describe the internal inguinal ring - Correct Answer-a natural opening in the transversalis fascia an appropriate protective intervention is reflected in which true statement about patient positioning in vascular surgery - Correct Answer-the nurse should protect the patient's vulnerable neurovascular bundles from compression overactive thyroid conditions; which has an increased risk of development that can lead to premature death - Correct Answer-atrial fibrillation complex biomedical equipment - Correct Answer-use the device according to the manufacturer's directions and test for proper performance before the patient enters the OR which type of bleeding is more difficult to control - Correct Answer-venous because veins have a thinner muscle layer what composes the lining of the herniated abdominal sac - Correct Answer-peritoneum correct rationale for not using methylene blue as a skin marker in the neurosurgical OR - Correct Answer-methylene blue produces an inflammatory reaction in CNS tissue The floor of the inguinal canal is composed of - Correct Answer-aponeurosis and facsia of the transversalis muscle marla moriarity; marla's treatment decision will most likely be - Correct Answer- emergency laparotomy for a ruptured ectopic pregnancy velour grafts are impregnated with which substance to ease handling with the need to preclot - Correct Answer-gelatin the nasal septum is lines with blood vessels and mucus secreting cells called - Correct Answer-mucoperichondrium abnormal pupillary reflex in the patient's right eye - Correct Answer-compression of the oculomotor nerve arterial supply for the scalp - Correct Answer-external carotid artery most common congenital cyst found in the neck - Correct Answer-thyroglossal duct cysts the double layer of fatty peritoneum attached to the greater curve of the stomach - Correct Answer-mesentery peritoneal fold that connect the appendix to the ileum - Correct Answer-mesoappendix vena cava filter; insertion approaches - Correct Answer-right jugular and right femoral AAAs commonly occur - Correct Answer-below the renal arteries and the aortic bifurcation eye sutures should be handled as little as possible to avoid - Correct Answer-weakening and fraying indirect hernias occur () to the deep epigastric vessels - Correct Answer-laterally which of the following documentation requirements is unique to vascular surgery - Correct Answer-clamp application and removed times whipple procedure is removal of () as treatment for () - Correct Answer-lower half of the common bile duct, pancreatic cancer ongoing assessment of graft integrity includes - Correct Answer-use of intraoperative and post-operative doppler to detect presence of graft pulse which of the following is not contained in the anterior mediastinum - Correct Answer- Great Vessels outcome indicator that would best reflect that the goal of maintained fluid balance was attained - Correct Answer-blood pressure within acceptable range the primary objective of varicose vein surgery for a patient with secondary disease is to prevent - Correct Answer-ulceration, edema, pain, fatigue goal of bunion surgery - Correct Answer-restore normal range of motion drug to give if patient is unresponsive to treatment methods to reduce laryngospasm - Correct Answer-succ the supraglottis, glottis, and subglottis represent three portions of the - Correct Answer- larynx a positive Kehr's sign is - Correct Answer-left shoulder pain phagocytic cells of the liver - Correct Answer-kupffer cells appropriate intervention for preschool age children - Correct Answer-allow them to play with their own mask and place on their stuffed bunny's face nasal polypectomies use microdebriders which remove polyps by the mechanism of - Correct Answer-morcellating incision used for a open appendectomy - Correct Answer-mcburney removing a cancerous testis, which incision - Correct Answer-just above the inguinal ring if PMMA is not used, which replacement product, element, or substance is - Correct Answer-autologous bone graft sign or symptom anesthesia would report in a patient experiencing TURP syndrome - Correct Answer-hypertension Access to the substernal compartment is typically facilitated by: - Correct Answer-using long instruments through a regular thyroid incision orthopedic diagnosis that is a complex deformity and diagnosed prenatally through ultrasound or at birth - Correct Answer-club foot appropriate nursing action in the event of a lost airway after anesthesia induction and before intubation - Correct Answer-assist the anesthesia provider with securing the airway while applying cricoid pressure pelvic floor consists of - Correct Answer-levator ani and coccygeal muscle what procedure might be considered in lieu or Nissen - Correct Answer-endoluminal plication of the lower esophageal segment an extension and modification of the brain designed to perceive light and relay visual signals through the optic nerve back to the occipital brain - Correct Answer-retina connective tissue that covers all bone and supplies nutrients - Correct Answer- periosteum which of the following operations requires general anesthesia - Correct Answer-MVR the transverse colon meets the descending colon at what point - Correct Answer-splenic flexure which of these items identify this structure as large intestine and not small - Correct Answer-teniae coli, haustra, epiploic appendages nourishment to the lungs is supplies via the - Correct Answer-bronchial arteries the inward turning of both eyes - Correct Answer-esotropia result of age related changes that reduce blood flow to the abdominal viscera, reduce the amount of hydrochloric acid, and delayed gastric emptying - Correct Answer-altered absorption of dugs incision for a splenectomy - Correct Answer-left subcostal luanne williamson, positioning - Correct Answer-? the long one symptoms for hypothyroidism - Correct Answer-dry skin, edema, constipation, depression Within a steam sterilizer, at a temperature of 100° C (212° F), the water condensation and the steam are the same temperature. This scientific phenomenon is called ________ and will ________. - Correct Answer-steam saturation, not kill microorganisms instrument used to occlude a vessel - Correct Answer-hemostat concern with large doses of ketamine - Correct Answer-respiratory depression instruments that do not fall under the categories of clamps, retractors, or cutting instruments are - Correct Answer-accessory or ancillary instruments this gram stain designation is based on the - Correct Answer-physical and chemical properties of the cell wall appropriate action if the doctor is delayed after the room ad instruments have been opened - Correct Answer-cover the instruments with a sterile drape and have the scrub nurse continually visually observe the room for breaches in sterility latex allergy reaction is best prevented by - Correct Answer-limiting exposure to latex what measure could the scrub person take to enhance energy delivery - Correct Answer-clean the charred tissue from the active electrode blade select the order for administering blood and blood products - Correct Answer-verify informed consent for blood, ..... important information to be communicated about a drain to the PACU or ICU nurs - Correct Answer-location and type of drain best practice for double gloving - Correct Answer-the CDC endorses double gloving for all surgery and invasive procedures select the list of direct care anesthesia providers - Correct Answer-anesthesia provider, AA, CRNA which listen inhalation agent is th best choice for pediatric anesthesia - Correct Answer- sevo major infectious risk for healthcare workers - Correct Answer-Hep B umbilical hernias occur as a result of a defect in the - Correct Answer-linea alba order that a instrument set must travel before reaching the steam sterilizer - Correct Answer-inspect, inventory against list, assemble, place integrators, wrap and tape which members of the team can be held liable for a retained foreign object - Correct Answer-the entire team most accurate method for post op temp monitoring - Correct Answer-oral What type of needle is used when suturing the skin? - Correct Answer-reverse cutting sherry ames - Correct Answer-conscious sedation / analgesia purpose of MSDS - Correct Answer-to inform all employees of the presence, characteristics, handling, and risks of chemicals in the workplace the hand control on the surgeon's end of the instrument is designed to provide - Correct Answer-ergonomic comfort and control which of the following regarding specimen labeling is a regulatory requirement - Correct Answer-biohazard information which should not be considered for choice of suture - Correct Answer-the scrub persons preference jennings; skin injury - Correct Answer-friction from his elbows rubbing over the sheets when slip up in bed CO2 flow rate of () and pressure of () - Correct Answer-9 L/min; 14-16 mmHg what suture needs 6 knots to hold - Correct Answer-prolene patient with C Diff is on what kind of precautions - Correct Answer-contact precautions New synthetic polymers such as PDS provide wound support up to _____ months - Correct Answer-3 Chromium salt coating on surgical gut suture: - Correct Answer-should be rinsed from the suture before use in eye cases most important qualities for packaging materials - Correct Answer-good sterilant penetration and air removal, microbial barrier, aseptic presentation MDROs; antibiotic application with the best evidence - Correct Answer-antibiotics given IV within 1 hour of the incision for every procedure with an incision or entered body system The lateral kidney position allows approach to the retroperitoneal area of the flank. To render the kidney region readily accessible, the _______________ is raised, and the bed flexed so that the area between the twelfth rib and the iliac crest is elevated. Compression of the ____________ can occur when the flank is raised too high. - Correct Answer-kidney bridge, vena cava monofilament suture that does not require the surgeon to tie knots - Correct Answer- barbed Dan clements - Correct Answer-polyglactin SEP monitoring is used during which procedure - Correct Answer-posterior spinal fusion parameters of a comprehensive respiratory assessment - Correct Answer-rate, rhythm, and breath sounds the stapler designed to close the end of a hollow organ - Correct Answer-TA preferred method of hemostasis for laminectomy - Correct Answer-cottonoid strips or patties difference between open aortic aneurysm repair and EVAR - Correct Answer-the prosthetic endograft or stent graft is introduced into the aneurysm through a surgically exposed femoral artery Sarah Pergines, an 82-year-old woman, was referred to the breast surgery service by her gerontologist because of a large inflammatory mass in her left breast. Sarah stated that the lump has existed for several years and she believed it was just part of old age. The surgeon examined Sarah and found tumor nodules growing into the skin of the breast, with breast swelling and redness. Diagnostic imaging results described a tumor that had grown into the chest wall and may have spread to axillary lymph nodes and to other lymph nodes behind the breastbone and below the collarbone. Based on this description, what is Sarah Pergines' probable cancer stage? - Correct Answer-stage IIIc class of medications that can increase the risk of severity of a reaction to contrast media - Correct Answer-beta blockers an orichiopexy indications - Correct Answer-all testes that are undescended after 1 year require surgical placement in the scrotum Tui Nyguen, a 32-year-old gravida 2 para 2, is scheduled for a hysteroscopy for heavy bleeding of 2 weeks' duration, and possible retrieval of a displaced IUD. She is tired and weak from blood loss and has marked anemia. contraindication for planned hysteroscopy? - Correct Answer-heavy bleeding innermost membrane of the brain - Correct Answer-pia mater recommended long-term pain management in the elderly includes - Correct Answer- opioid analgesics indication for damage control surgery - Correct Answer-coagulopathy open commissurotomy - Correct Answer-have valve replacement instruments available a () should be placed between neural tissue and the suction tip - Correct Answer- cottonoid an example of antithyroid drugs that would be administered during a thyroid storm crisis would be - Correct Answer-propylthiouracil and methimazole which substance that supplies energy sources to the brain and body - Correct Answer- glycogen which is not a symptom of compartment syndrome - Correct Answer-moderate pain select the areas where percutaneous CPB would be indicated - Correct Answer-cardiac catheterization unit or intensive care unit the scaphoid links the proximal row of carpal bones as it - Correct Answer-stabilizes and coordinates the movement of the proximal and distal rows the pyramidal lobe of the thyroid is described as - Correct Answer-a thin upward protrusion of thyroid tissue from the isthmus. the great saphenous vein branches off of which vessel - Correct Answer-book page 883 Why will the perioperative nurse ensure availability of hemodynamic monitoring equipment and supplies for the patient having thoracic surgery? - Correct Answer- decreased surface area of the lung for perfusion can be anticipated what modality is not considered within the scope of naturopathic medicine - Correct Answer-biofeedback After retracting the nerve roots, this structure is incised before getting to the disc. - Correct Answer-posterior longitudinal ligament what structure is NOT commonly injured in penetrating trauma - Correct Answer-spleen osteomalacia is due to a deficiency of () that can be treated by () - Correct Answer- vitamin D, dietary supplements and exposure to sunlight among the treatment options for tricuspid valve disease ; what type of prosthetic graft would be created or implanted - Correct Answer-a mitral prosthesis after closure of the arteriotomy during carotid endarterectomy is complete, which clamp is removed last - Correct Answer-the internal carotid for indirect hernia repair, the - Correct Answer-hernia contents are reduced to the abdominal cavity a patient having a major vascular procedure will require which of the following interventions that are not required of a major gastrointestinal case - Correct Answer- rapid infusion pumps and blood products present in the OR commonly implicated in SAH, the vessels of the circle of willis include - Correct Answer- posterior communicating artery the formation of the hernia at a site of weakness is due to any number of conditions that cause - Correct Answer-increased pressure within the abdomen which of the following is NOT a reason to convert a case from laparoscopic to an open abdominal case - Correct Answer-lack or warmer for insufflation gas select the procedure that is designed for the relief of pharyngeal obstruction - Correct Answer-tonsillectomy proper placement of the personal radiation dosimeter - Correct Answer-on the trunk under the apron and at the collar level outside the apron by what mechanism does chest catheters and drainage systems use to remove fluid and air from the pleural cavity - Correct Answer-gravity the function of the spleen includes all of the following except - Correct Answer-assists the liver in filtering medications the correct order of the external organs of the vulva listed anterior to posterior - Correct Answer-mons pubic, labia majora, labia minora, clitoris, vistibular glands, vaginal vestibule, vaginal opening, urethral opening the amount of fluid normally held in the parietal space - Correct Answer-50 ml pelvic diaphragm - Correct Answer-it is an indirect supportive attachment to the uterus anna lindeman - Correct Answer-airplane cabin pressure and high elevations will cause severe enlargement of the gas bubble and increase intraocular pressure a rapid rise in thyroid hormone levels is caused by - Correct Answer-thyroid and parathyroid surgery radioiodine therapy / contrast dye withdrawal of antithyroid drug therapy vigorous thyroid palpitation thyroid hormone medication exopthalmos can be associated with - Correct Answer-hyperthyroidism indication for liver transplant - Correct Answer-primary hepatic cancer chronic hepatocellular disease chronic cholestatic disease metabolic liver disease acute fulminant liver disease inborn errors of metabolism triad of boundaries of the hesselbach triangle - Correct Answer-deep epigastric vessels laterally inguinal ligament inferiorly rectus abdominis medially which duct joins the common bile duct as it enters the duodenum at the hepatopancreatic or major duodenal papilla - Correct Answer-pancreatic duct which of the following is NOT included in the carotid system of arteries - Correct Answer-ascending pharyngeal artery impaired nutritional status is highly prevalent Mini Nutritional Assessment - Correct Answer-serum albumin level innervation of the lungs is part of what system - Correct Answer-autonomic nervous system age related skin changes - Correct Answer-gently lift, not slide, the patient to and from the OR bed MIS in pediatric patients - Correct Answer-pediatric patients having MIS procedures have less prevalence of adhesion formation patient presents with an acoustic neuroma will demonstrate which symptoms - Correct Answer-unilateral deafness the right and left coronary arteries originate in the corresponding sinuses of valsava which are located - Correct Answer-posterior to the cusps of the aortic valve Most common endocrine problem in the US - Correct Answer-thyroid nodule key component of the culture of safety in regards to blood exposure - Correct Answer-a goal of the culture of safety is to reduce the risk of blood exposure and sharps injuries to staff Miriam Glass is a 78-year-old female scheduled for compression nail insertion of a left fractured hip. She was positioned for a spinal injection to induce spinal anesthesia. During the process, the anesthesia provider inadvertently inserted the spinal needle into the subarachnoid space, not noticing the error until the entire syringe of lidocaine was emptied into the patient. Miriam immediately experienced rapid onset of hypotension, bradycardia, and apnea. Miriam's unintentional condition is called ______________ and now must be managed with _____________. - Correct Answer-total spinal anesthesia, general endotracheal anesthesia what important criteria must be met to conclusively define this as a surgical site infection - Correct Answer-positive diagnosis of the SSI by the surgeon or attending physician the area between the surgeon and the scrub person designated for passing sharps safely - Correct Answer-neutral zone At a regional MH testing center Davis Washington is undergoing a muscle biopsy for suspected genetic predisposition to malignant hyperthermia. The anesthesia provider will provide light intravenous (IV) sedation while the surgeon infiltrates the biopsy site with a local anesthetic. This will facilitate Davis' tolerance of the procedure and minimize his risk for an MH episode. What is the current correct name for this anesthesia modality? - Correct Answer-MAC class III nonabsorbable sutures include - Correct Answer-multifilament wire tissue reaction characteristics that need to be considered when choosing suture - Correct Answer-absorption If a sterile glove becomes contaminated during a procedure, what action should the surgical technologist take? - Correct Answer-reglove with assisted gloving technique emma clements; common side effect of spinal anesthesia - Correct Answer-hypotensive episode NOT an advantage of silk suture - Correct Answer-memory consequence of acute exposure to ionizing radiation - Correct Answer-dermatitis first step to be taken after a needlestick - Correct Answer-wash with soap and water norma miller - Correct Answer-determine the potential for intravasation samuel garcia - Correct Answer-the debridement will remove dead tissue that could support infection mechanism of general anesthetic agents - Correct Answer-inhibition of synaptic transmission of nerve impulses surgical hand scrubs should have what attibute - Correct Answer-inhibit the regrowth of microorganisms cryosurgery can be used to treat cancers of the - Correct Answer-lung positioning device for bariatric patients - Correct Answer-upper body ramp strength layer of the skin - Correct Answer-dermis an integrator is designed to measure () during sterilization - Correct Answer- temperature, time, presence of steam